A nurse is assisting with the care of a preschooler who is immediately postoperative following a tonsillectomy. Which of the following actions should the nurse take?
Apply an ice collar.
Encourage the child to use a straw.
Remind the child to cough and deep breathe.
Provide cherry fruit juice.
The Correct Answer is A
A. Applying an ice collar helps reduce swelling and discomfort in the throat after a tonsillectomy. Cold therapy is effective in the early postoperative period to minimize bleeding and pain.
B. Using a straw should be avoided after a tonsillectomy because it may cause trauma to the surgical site and increase the risk of bleeding.
C. Coughing and deep breathing should be avoided after a tonsillectomy as they can cause irritation or dislodge the blood clots in the surgical site, leading to bleeding.
D. Providing cherry fruit juice is not ideal, as acidic or red-colored liquids can irritate the throat and may make it difficult to monitor for post-operative bleeding.
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Related Questions
Correct Answer is C
Explanation
A. Removing outer clothing can be uncomfortable or distressing for toddlers, so it is often better to do this gradually, allowing the child to feel more at ease.
B. Allowing the toddler to sit in the parent's lap can provide comfort and security during the examination.
C. Allowing the toddler to inspect the stethoscope is an effective way to reduce anxiety and establish trust with the child.
D. Traumatic procedures, such as immunizations or blood draws, should be done last to avoid causing unnecessary distress during the examination.
Correct Answer is A
Explanation
A. A 9-month-old infant is expected to demonstrate a crude pincer grasp, which involves picking up small objects between the thumb and forefinger. This is a developmental milestone for this age.
B. While infants may shake their heads by this age, it is typically not used in the context of saying "no." This action is usually a sign of exploration or reaction to stimulation.
C. A 9-month-old typically does not use two-word phrases. By this age, infants are usually babbling and may say single words like "mama" or "dada."
D. A 9-month-old is not expected to build a tower of four blocks. By 12-15 months, infants may begin to stack blocks.
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